Information Collection

Change of Operator - Extension to Well Plugging (Modification) § 29.181(a) (Hard Copy)

IC 215546 under ICR 202608-1018-003 · OMB 1018-0162.

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form FWS Form 3-2469 Oil and Gas Operations Special Use Permit Application Change of Operator - Extension to Well Plugging (Modification) § 29.181(a) (Hard Copy)	Form and Instruction
FWS Form 3-2469 Oil and Gas Operations Special Use Permit Application FWS Form 3-2469 Oil Gas Special Use Final 08292022_updated 12012023.pdf fwsepermits.servicenowservices.com/fws/	Form and Instruction

IC Title:

Agency IC Tracking Number:

Is this a Common Form? No

IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 50 CFR 29.181(a)

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	FWS Form 3-2469			https://fwsepermits.servicenowservices.com/fws/	Yes	No	Fillable Printable

Line of Business: Energy

Subfunction: Energy Resource Management

Privacy Act System of Records

Title: National Wildlife Refuge Special Use Permits-Interior, FWS-5

FR Citation: 73 FR 31877

Number of Respondents: 5

Number of Respondents for Small Entity: 5

Affected Public: Private Sector

Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 50 %

table that charts list of burden
	Requested	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	5	2	3
Annual IC Time Burden (Hours)	80	32	48
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].